Management der idiopathischen Schultersteife – prospektive Evaluation der reinen Narkosemobilisation und einer additiven subakromialen Kortikosteroidinjektion

Abstract

This study demonstrates that MUA is a safe and effective tool in the management of idiopathic frozen shoulder, if conservative therapy fails. An additional subacromial injection of cortisone however does not generate a significant improvement.

Manipulation under anaesthesia for frozen shoulders: outdated technique or well-established quick fix?

“…Diabetic patients were excluded in the remainder of the articles. 30,39,45,47,55 Vastamäki et al report the same results after MUA in the long term in a small subgroup of patients with diabetes compared to non-diabetic patients. 43 Jenkins compared the results of MUA in a diabetic group to a non-diabetic group and found a similar improvement in ROM and OSS, but an increased need for a repeated MUA procedure in diabetics (IDDM 39%, NIDDM 31%) compared to 15% in non-diabetic controls.…”

“…However, this varied highly, from one month, 46 two to four months, 44,45,47,48 until a minimum duration of six months. 43,55 Physiotherapy, analgesics and corticosteroid infiltrations (both subacromial and intra-articular) were the mainstay of the conservative treatment modalities before MUA. 40,44-46,49…”

“…Passive ROM was measured, except for the articles by Meyer and Sokk, wherein the active ROM was reported. 49,55…”

“…20 Meyer et al report that 90% of their patients with an idiopathic FS were unable to work, but that 80% were able to return to work six months after MUA. 55 In 1988, Hill et al stated in a small retrospective study that 70% of FS patients were able to return to work after an average of 2.6 months after manipulation. 59…”